Active NPI
Joseph Luca, RPH
- Pharmacist
- North Wales, PA
National Provider Identifier
1992332787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP442700
- Practice address
- 109 Tennyson LN
North Wales, PA 19454-1641 - Phone
- (267) 261-2452
- Fax
- (717) 947-9695
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP442700 | PA | Primary |
Addresses
Primary practice location
109 Tennyson LN
North Wales, PA 19454-1641
Mailing address
109 Tennyson LN
North Wales, PA 19454-1641
Phone (267) 261-2452
Other practice location 1
2701 Southampton Rd
Philadelphia, PA 19154-1205
Phone (215) 856-2714
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP442700 | Other | PA | PHARMACIST LICENSE |
| 041690-01 | Other | NY | PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP442700 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1992332787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 TENNYSON LN",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541641",
"telephone_number": "267-261-2452",
"fax_number": "717-947-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 TENNYSON LN",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541641",
"telephone_number": "267-261-2452",
"fax_number": "717-947-9695"
}
],
"practiceLocations": [
{
"address_1": "2701 Southampton Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191541205",
"country_code": "US",
"telephone_number": "215-856-2714",
"fax_number": "215-856-2832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCA",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PA",
"license": "RP442700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RP442700",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "041690-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.